¸ñÀû: Deep neck infection (DNI) is rare, but a potentially fatal
condition. Patients with poor initial nutritional status and lack
in immunity may result in poor recovery including elongated
hospital stay and unexpected complications. The aim of this study
is to investigate the prognostic value of nutritional status and
laboratory finding in the patient of DNI.
¹æ¹ý:A retrospective review of 50 patients who were initially
diagnosed with DNI in Asan Medical Center from 2007 to 2014 was
conducted. Clinical demographics, initial laboratory markers
(serum protein, albumin, leukocyte, lymphocyte, neutrophil count,
C-reactive protein) and the length of hospitalization were
reviewed. All values analyzed using multiple linear regression
and the logistic regression analysis in order to determine
parameters that are associated with longer hospitalizations and
complicated deep neck infections. °á°ú:Total 50 subjects were divided into well-nutritioned group (76%) and malnutritioned groups (24%). There were 18 subjects (36%) who were diagnosed with diabetes mellitus. Mean duration of hospital stay was 15.8¡¾10.7 days, and 10 (20%) subjects underwent intensive care unit stay. Initial mean serum protein, albumin level showed 6.4¡¾0.8 and 3.2¡¾0.6, respectively. CRP and WBC level were 15.9¡¾10.6, and 14762¡¾5871, respectively. Mean BMI was 23. 44¡¾3.71 and lymphocyte count as 1592¡¾910. Elevated CRP had correlation with hospitalization duration (P < 0.05). In comparison with the well-nutrioned group, the malnutritioned group tended to have older mean age (57.2 y versus 46.2 y, P < 0.05), longer duration of hospital stay (19.7 days versus 10.2 days, P < 0.0001), more frequent complications (33.9% versus 8.5%, P<0.01), and more frequent tracheostomy or intubation (19.6% versus 6.2%, P < 0.05). °á·Ð: Poor initial nutrition status may result in treatment failure,
resistance, multiple surgical drainage and complication. We
recommend that high-risk groups, such as malnutritioned patients
should be more closely monitored throughout their hospitalization. |